Witzig R S, Greer D L, Hyslop N E
Department of Medicine, Tulane University Medical School, New Orleans, Louisiana, USA.
J Med Vet Mycol. 1996 Mar-Apr;34(2):133-7. doi: 10.1080/02681219680000201.
Aspergillus spp. rarely cause mycetomata. We report a patient with diabetes and nephrotic syndrome with Aspergillus flavus mycetoma of the back, with the development of an epidural abscess, diskitis and vertebral osteomyelitis. The patient was successfully treated with decompressive laminectomy and a 14-month itraconazole regimen. Serial serum itraconazole levels and quantitative Aspergillus antigen levels were performed. This is the second reported and first extrapedal case of mycetoma caused by A. flavus.
曲霉菌属很少引起足菌肿。我们报告了一名患有糖尿病和肾病综合征的患者，其背部发生了黄曲霉足菌肿，并发展为硬膜外脓肿、椎间盘炎和椎体骨髓炎。该患者通过减压椎板切除术和为期14个月的伊曲康唑治疗方案成功治愈。我们还进行了系列血清伊曲康唑水平和定量曲霉菌抗原水平检测。这是第二例报告的由黄曲霉引起的足菌肿病例，也是首例发生于足部以外部位的病例。
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